NPIMap

Organization Active NPI

Leading Edge Services International, Inc

  • Primary Care Clinic/Center
  • New Orleans, LA
National Provider Identifier
1104136241
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LEADING EDGE SERVICES INTERNATIONAL, INC
Practice address
1501 Newton St
Suite C
New Orleans, LA 70114-2562
Phone
(504) 361-3777
Fax
(504) 910-3029
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthonia Imudia
Title
Executive Director
Phone
(504) 361-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1501 Newton St
Suite C
New Orleans, LA 70114-2562

Mailing address

PO Box 641324
Kenner, LA 70064-1324
Phone (504) 361-3777

Other names 1

  • FAMILY HEALTH CENTER-LA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Leading Edge Services International Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1501 Newton St
Ste C
New Orleans, LA 70114
Phone (504) 263-5622

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1104136241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641324",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700641324",
            "telephone_number": "504-361-3777",
            "fax_number": "504-910-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NEWTON ST",
            "address_2": "SUITE C",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701142562",
            "telephone_number": "504-361-3777",
            "fax_number": "504-910-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING EDGE SERVICES INTERNATIONAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "IMUDIA",
        "authorized_official_first_name": "ANTHONIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-361-3777"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY HEALTH CENTER-LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.